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Home My WebLink AboutPermit Building 1982-03-05INSPECTION UNE 72(}3769 CIIY OF SPRINGf IEtD coMBrNArloN APPtlcArloN/PERMlr INFORMATION TINE 7263753 @f\)o (rl l\) Job Addresr ZOI S.18th Street ENERGY SOURCES: Fl ecHeot Woter Heoler --Ronqe Sq. Ftg. Moin 57,5 Sq, Ftg. Access. Sq. Ftg. Other -New-Add-Altar-Iep.--Fence-Demo-Chonge/ Ure -Orher .=- legol De:criptio^ 1 7-03-36 (nn Owner Address Volue of Workr $2 .000.00 Building Permil lnfo: Describe Work (i.e., Build Single tomily Residence With Attoched Goroge) Rpmndp'l ?nd Flnor tn Officps: InstaII Conslruclion Lender Nar^r nr r* c i i^ - +. i -,.'-., Add ress Phone Jeu r r rluJ DESIGN TEAM (nome)(lics. no.)(expires) Primory Structurol Eleclrico I }lechonicol CONTRACTORS (nome)ress)(lics. no.)(exoires)(ohone no.) Generol Plumbing Electricq I Mechonicol PLUMBING EI.ECTRICAT MECHANICAL NO.FEE CHARGE NO.FEE CHARGE NO.FEE CHARGE Eoch sinqle fixture Recidence of -----sq. ft, furnoce/burner to -BTU'S Relocoted building (new {ix. odditionol)2 New circuits, olterction5 or exlensions 15. 00 Applionce vent se po rq le S.F. Residence (l borh)SERVICES Stotionory cvop. cooler Duplex (l borh) eoch Temporory Conslruclion Vent fon with single ducl Additionol both Amps. Vent syrlem oporl from heoting or A.C. Wqler service Mechonicol exhoust hood ond duct Sewer Wood siove/heoter Slorm Scwer r EEDERS Heot Pump Ampr. Air hondler to 10,000 cFM Air hondler over r0,000 cFrrr ISSUANCE OF PERMIT TOTAT CHARGES TOTAI. CHARGES 15.00 WHEnE STATE tAW REQUIRES thot thc Elcrtricol work bc done by thc Elcctricot Conlrsctor, thc clcctricol portion of thir parmit sholl not br volid unril o lobel hos boon rigned by on Elcctricol Controctor qnd ottoched to lhc clecrricol ponel. I HAVE CAREFUTTY EXAMINED the completed oll work performed sholl opplicotion for permit,ond do hereby csrtify ,hot oll informotion hereon ir lrue ond correct, ond I further certify thol ony ond be done in ocordonce with lhe Ordinonces of the of Springfield ond ihe Lows of the Stote of OrcAon tut the permisrion of lhe Building Division. I furtherpertoining to the work described herin, ond thot NO OCCUPANCY will be mode of onY ertlfy thot my regislrolio n with the Builder's Eoord i: in full fore ond effect os required by thot if exempt for exemption is noted heron, ond thot only subconlroctors ond employeer who ore in complione with ORS 7Ol on this Bosir for Builder's Eoord exemptionr NAME (pleose LMI c<Lt s SIGNATURE DATE FOR OFT]CE UsE ONTY zon" M 3 Typ"/conrt. TTI-N unil'Ftg. Moin x Vo lua x Yolue x -lslgs fire Zone-Bedrooms Iood Ftg. Access Flood Ploin croug --82--Sg. Fig. other- $2 -000 - 0nTOTAT VAI.UATION BUITDING PERMIT Chorges ond Surchorges ---J20-00 Plon Ck. Comm/lnd 6595/Blds Per Fee (1? nn Systems Developmenl Chorqs (1.5%) Plon Ck. Res 30%/Bldq Per Fee PTUMBING PERMIT Chorges ond Surchorges Fence Demo Tolol Comb. Permit $ 4e.40 ETECTRICAL PERMIT Chorges ond Surchorges ___J Sidewolk A/C Povino Curb Cut No charge /TAECHANICAL PERMIT Chorges ond Surchorges TOTAI TI Phone 726-?7\? (oddress)(phone no.) TOTAT CHARGES BO .60 Additional Proiect lnformolion: -4-8nomesig nolure dote PTANS REVIEWED BY: Dan Sni th \I coMBtNATTON AppLTCATtON/pERMtT (CAp) l. Appliconl to furnish A. Job Address B. Legol Description l. exomple-lox lot 100, tone County Mop Reference I7 03 43 Z. gg-rylg-Lot I. Block 3,2nd Addition to Springfielcl Fc+a'a< C. Nome, etc. of owner ond construction lender D. Energy Sources PERMIT VALIDATION CITY OF SPRI NGFI EtD CirY Holl Springlleld, Oregon Dcporlmcnt of Public Works OFFICIAT RECEIPT 0. B 58163 '! I . exo mple-h"otlg!."ttkg!S!.!.!-8,/or f orced o i r gos 2. exo mFla-wo te r lffiZ6Fecl ri co I / o r @ E. Squore footoge or voluotion, elc.I. exomple- l 250 sq. foot house, 500 sq. foot goroge 2. exomFiE-iT;ew proiect, check nEi-if oddition, che odd, etc. F. Building permil informolion:l. exomple-construct single fomily house with on oltc goroge 2. exomple-remodel existing goroge into fomily roorr 3. gl1.FE-convert single fomily residence into resiouront (chonge of use) G. Volue of work os defined in Section 303 (o) of the Structurol Speciolty Code H. DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building Divisi Stoff must be oble lo contoct oppropriote persons reg( design informotion or iob site corrections, etc. ll. Abbrevioted Plumbing, Mechonicol & Electricol Schedules A. Except where blonk spoces occur in the description por of the Mechonicol ond Electricol Schedules, the opplicc need fill-in only the No. Boxes odiocent to the oppropr item(s) to be instolled B. Full Plumbing, Mechonicol, ond Electricol Schedules ore ovoiloble ol the Building DivisionI. To conserve spoce on the permil form the schedules hove been obbrevioted 2. lf the item(s) to be instolled ore nol covered on the oted schedules you should consult the full schedule: C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AN CHARGES ON THE SCHEDULES lll. Applicont to sign ond dote Whenever possible, the initiol opplicotion will be used os, worksheet only. Where possible, Building Division Sroff wi prepore o lypewritten copy ond return it to the oppliconl r the time the octuol permit is issued for his signoture. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the op ond no plons will be processed until these fees qre poid. r' other fees ond chorges ore due ond poyoble when the per* is issued. V. FOR OFFICE USE ONLY Rec'd F (l Address n, 1' Received For: fl 0 Amount Received _( ( I il ( ( ( fl ( ( ( (:' RIZEO SIGNATURE sxEltoi.tuiNauLL airNTEnS - auoE(E oR eTao!3a!il.6 .Permit Clerk lt PROJECT CONDITIONS IO BE SATISFIED BEFORE OCCUPANCY: